Bladder Tumor

Transurethral Telescopic Resection Of A Bladder Tumour

Key Points
What Does This Procedure Involve?
Removal of a bladder tumour (growth) from your bladder using diathermy (electrical current) or laser energy, through a telescope passed into your bladder along your urethra (waterpipe).
What Are The Alternatives?
What Happens On The Day Of The Procedure?
Your urologist (or a member of their team) will briefly review your history and medications, and will discuss the surgery again with you to confirm your consent. An anaesthetist will see you to discuss the options of a general anaesthetic or spinal anaesthetic. The anaesthetist will also discuss pain relief after the procedure with you. We may provide you with a pair of TED stockings to wear, and we may give you a heparin injection to thin your blood. These help to prevent blood clots from developing and passing into your lungs. Your medical team will decide whether you need to continue these after you go home.
Details Of The Procedure
Are There Any After-effects?
The possible after-effects and your risk of getting theme are shown below some are self-limiting or reversible, but others are not. We have ont listed very rar after-effects (occurring in less than 1 in 250 patients) individually. Tha impact of these after-effects can vary a lot from patient to patient, you should ask your surgeon’s advice about the risks and their impact on you as an indiviual:
What Is My Risk Of A Hospital-acquired Infection?
Your risk of getting an infection in hospital is approximately 8 in 100 (8%); this includes getting MRSA or a clostridium difficile bowel infection. This figure is higher if you are in a “high-risk” group of patients such as patients who have had:
Mild burning with blood in your urine for a short time after the procedure Almost all patients
Need for additional treatment to prevent later tumour recurrence (e.g. Mitomycin C instillation) Almost all patients
Infection in your bladder requiring antibiotic treatment Between 1 in 10 & 1 in 50 patients
No guarantee of cancer cure by this procedure alone Between 1 in 10 & 1 in 50 patients
Recurrence of the tumour and/or incomplete removal Between 1 in 10 & 1 in 50 patients
Delayed or ongoing bleeding requiring further surgery to remove blood clots Between 1 in 50 & 1 in 250 patients
Damage to the ureters (the tubes that drain urine for your kidneys to your bladder) requiring further treatment Between 1 in 50 & 1 in 250 patients
Injury to your urethra resulting in delayed scar formation and a urethral stricture Between 1 in 50 & 1 in 250 patients
Perforation of your bladder requiring a temporary bladder catheter or open surgical repair Between 1 in 50 & 1 in 250 patients
Anaesthetic or cardiovascular problems possibly requiring intensive care (including chest infection, pulmonary embolus, stroke, deep vein thrombosis, heart attack and death) Between 1 in 50 & 1 in 250 patients your anaesthetist can estimate your individual risk
What Can I Expect When I Get Home?
Is There Any Way I Can Prevent Post-operative Problems?
Yes, there are several measures that will help:
Before you go home
We will tell you how the procedure went and you should:
Before your procedure
We will give you advice about what to look out for when you get home. Your surgeon or nurse will also give you details of who to contact, and how to contact them, in the event of problems.
Ideally, we would prefer you to stop smoking before any procedure. Smoking can cause cancers of the urinary tract, encourage existing cancers to recur or progress, and increase the risk of complications after surgery. We strongly advise anyone with bladder cancer to stop smoking.